RN, Registered Nurse Patient Navigator Senior - Specialty Cardiology - Full Time
Company: Christus Health
Location: Longview
Posted on: February 2, 2025
|
|
Job Description:
Description
Summary:
The Registered Nurse Patient Navigator Lead is a Registered Nurse
or licensed Nurse Practitioner who provides health and wellness
coaching, case management services, analysis and expertise for the
health plan of employers contracting with CHRISTUS for chronic
disease and high risk case management/population health management
services. These services will be provided by monitoring cases and
claims, analyzing biometric and health risk assessment data,
organizing disease management programs and proactively interacting
with plan members, physicians and other providers. Incumbent
oversees integrated data warehouse for support of the health
benefit program including program utilization, disease management
programs and contracted provider network support.
Responsibilities:
--- Oversee the development, implementation and management of an
integrated medical benefit program including case management and
health/disease management. --- Establish a system for coordinating
the caseload patient's care throughout the continuum of care. ---
Use standard tools, databases and methodologies to support the
health benefit program and provide leadership in managing cases,
events and diseases that are determined to be targeted priorities
by Senior Management of contracted employers. --- Interact with
providers and plan members in case management medical activities to
provide the most efficient and effective service. --- Identify
targeted chronic diseases/high risk individuals (with vendor
support) and develop programs to reduce the financial and health
risks, using internal hospital programs/services whenever possible.
--- Monitor and evaluate the effects of case management on the
patient population. --- Create outcomes-management focus by
interdisciplinary analysis of specific clinical, financial and
satisfaction elements for the patient population. --- Assist in the
analysis of demographics, utilization and reimbursement for the
health plan. --- Prepare cost analysis and other reports to
determine the reasonableness of claim/cost data and utilization
rates. --- Make recommendations based on data analysis for benefit
structure, pharmacy formulary, deductibles, co-pays, out of pocket,
etc. to contracted employer groups. --- Maintain consistent
attendance, punctuality and personal appearance in accordance with
CHRISTUS attendance and dress code policies. --- Uphold
organizational values by treating others with respect, keeping
commitments and working ethically and with integrity. --- Attend
meetings as required and participate in team activities. Exhibit
confidence, motivate and inspire others. --- Establish and maintain
effective working relationships with team members, patients and the
public by demonstrating the ability to communicate verbally and in
writing while responding clearly and effectively. --- Demonstrate
the ability to read and respond to e-mail and appointment requests
in a timely manner and on a regular basis. --- Use time
efficiently, plan for additional resources, set goals and
objectives and work in an organized manner. --- Demonstrate safety
practices and maintain a safe environment for patients, visitors
and fellow team members by following established safety and
infection control standards.
Requirements:
Education/Skills
Experience
Licenses, Registrations, or Certifications
Work Type:
Full Time
EEO is the law - click below for more information: -
We endeavor to make this site accessible to any and all users. If
you would like to contact us regarding the accessibility of our
website or need assistance completing the application process,
please contact us at (844) 257-6925.
Keywords: Christus Health, Longview , RN, Registered Nurse Patient Navigator Senior - Specialty Cardiology - Full Time, Healthcare , Longview, Texas
Click
here to apply!
|